Edwin Samuel Kulubya, M. D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

G54189 Issued in CA

Practice address

3605 Long Beach Blvd Ste 320
Long Beach, CA 90807-4025

Phone

(714) 234-7485

Fax

(714) 701-1071

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nanjo MD PC

  • Pain Medicine Physician
  • Anaheim, CA
  • NPI 1023599529

  Anesthesiology

  NPD Authorized official
• Trisha C. Patel MD Inc

  • Pain Medicine (Anesthesiology) Physician
  • Anaheim, CA
  • NPI 1558818179
  NPD (past)
• Anesthesia Healthcare Partners of Laredo, P. a.

  • Anesthesiology Physician
  • Laredo, TX
  • NPI 1992739916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1922027218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "714-234-7485",
            "fax_number": "714-701-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "714-234-7485",
            "fax_number": "714-701-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULUBYA",
        "first_name": "EDWIN",
        "middle_name": "SAMUEL",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L1100",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G54189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159375801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kuhn, FNP
• Arno Kuigoua
• Jamie Kristen Kuljis, DACM, L.AC
• Mandeep Kaur Kullar
• Muna Mohamed Kulmiye, RN, FNP
• Eun Young Kum
• Sharon Elaina Kumagai, DDS
• Anirudh Kumar, MD
• Anjuli Kumar, M.D.
• Aysha Lata Kumar

• Pain Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.